Bandaging & Taping Flashcards
any suitable material used to bind a structure that needs to be bound
bandaging
varied depending on structures that require bandaging
techniques
- hold a dressing in place on a wound
- maintain pressure over a bulky pad to control bleeding
- support an injured limb or joint
- apply pressure to a limb
rationale for bandaging
techniques for bandaging
- dress the wound: put on gloves
- cover the bandage
- secure the bandage
- check circulation
always apply the bandage from
distal to proximal
used for compression or mild support
elastic wrap alone
support and compression are increased significantly
elastic wrap with padding
always center the injury in the ___ of the wrap
middle
never allow the person to wear the bandage
overnight
always check ___ after application
circulation
always secure the elastic wrap with elastic tape, clips are not sufficient
sport competitions
never end the bandage on the
inside
precautions in bandaging
- avoid pulling the bandage tight
- wrap beyond the site of injury
- use sterile (new) gauze dressings or roller bandage
- avoid bandaging a wound that’s infected
contraindications of bandaging
- acute infections
- arterial wounds
- arterial disease
- acute DVT without physician diagnosis
- radiance edema (untreated CHF)
- acute trauma without diagnosis
non-elastic unbleached cotton
muslin
ace bandage
woven elastic porous cotton
orthosis/splints
external support
types of bandages
- trainagular
- cravat
- ankle wrap
- protective splints, sleeves or slings
- most often used as temporary sling to support the weight of the patient’s extremity
triangular
used to support the upper extremity, but will not support the patient’s extremity as well as the triangular sling
cravat
- used to support & contain the swelling of the ankle after the sprain has occured
- ace wrap, low-stretch bandage or adhesive tape can be used
ankle wrap
used to immobilize, stabilize & protect a joint or extremity or to control edema
protective splints, sleeves or slings
- decrease swelling
- secure a sterile dressing
- prevent a joint from entering a painful range
taping
- provide immediate first aid
- decreasing swelling and eventually pain
- provide compression
- hold dressing in place
- protection
- prevent an injury
taping & wrapping
when not to apply taping
- undiagnosed injury
- return without consent
- over broken or irritated skin
principles of tape application
- comfort performing the taping
- follow contours of limb
- keep pain free yet functional range or position
- observe proper taping over a muscle or tendon
- overlap strips by at least 1/2 the width
- careful not to cut off circulation
- tear, do not twist
- check the function of the support technique
principles of tape allication
- have the athlete maintain the area to be taped in a pain free yet functional range or position
- when applying over a muscle or tendon, be sure to have the athlete contract the muscle involved
- when applying tape, pverlap strips by at least 1/2 the width of the tape to eliminate pinching or blisters
- be careful not to cut off circulation with tape strips. communicate with the athlete during the tape procedure and loosen the strips as necessary. tape should never be applied in a continuous manner
- to tear the tape, pinch each end with thumb and index finger while applying an outward force. tear the tape apart, do not twist. a quick jerk of the tape will rip the ends more evenly
- have the patient check the function. if supported properly the limb will not enter a pain zone. the direction of the tape should be the opposite direction of the movement that causes pain
- shaved, washed and dried prior to application
- minor cuts and blisters should be cleaned & covered
- sensitive areas of friction should be covered
- spray tuf-skin adhesive spray
skin preparation
tape removal
- remove immediately after use
- use bandage scissors or tape cutters
- avoid tearing or irritating the skin
- watch for signs of skin breakdown
- apply skin moisturizer to area taped
- for allergies to tuf-skin spray, a hypo-allergenic spray such as “skin prep” should be substituted
casting indications
- fractures
- severe sprains
- dislocations
- protection of post-operative repairs
- gradual correction of a deformity with serial casting
casting precaution & contraindications
- acute infection
- tracking wound, ulcer depth greater than width
- excessively draining wound
- claustrophobia
- fragile skin
- excessive swelling
techniques & materials of casting
- plaster of paris
- fiberglass
- cast brace
- splint
made of hard plastic
cast brace
made from slabs of plaster or fiberglass that hold the injury still
splint
